Implementation of a web-based national child health-care programme in                     a local context: A complex facilitator role

Tell, Johanna; Olander, Ewy; Anderberg, Peter; Berglund, Johan

doi:10.1177/1403494817744119

Cited by 9 publications

(21 citation statements)

References 16 publications

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“…The result showed that the national CHC program is still not implemented in all county councils/regions, and the use of RHB varied. This was also found in earlier studies of Swedish CHC and RHB 15,16,19 and contradicts the intention to offer an equal CHC contributing to equality in child health. 14 An overall category of understanding was RHB as a contributing determinant to an equal CHC and national equivalence.…”

Section: Discussionmentioning

confidence: 57%

“…Tell et al 15 found the ambivalence of CHC coordinators regarding parts in the new CHC program and to discontinuing use of their local guidelines in favor of RHB. As the MCHCUs have shown to be the most commonly used source of knowledge and methodological guidance for CHC nurses' work 19 and are important facilitators in the implementation of RHB, 15 these are dilemmas that people need to struggle with in county councils/regions. According to Wallby, 17 varied interventions are needed to get an equitable CHC, but they must not be at the expense of universal efforts.…”

Section: Discussionmentioning

confidence: 99%

“…14 Their responsibility is to facilitate the implementation of the Web-based RHB, including the national CHC program, improve the local CHC through education and support, monitor children's health, conduct evaluations, and develop methods for CHC. 14,15 Child healthcare should be built equally on current guidelines, best available evidence, proven experience, patient preferences, and evidence-based practice. 14 Lack of equality and equity in Swedish CHC 16,17 led to a new national CHC program, published on RHB in 2015.…”

Section: Child Healthcarementioning

confidence: 99%

“…14 Lack of equality and equity in Swedish CHC 16,17 led to a new national CHC program, published on RHB in 2015. 15…”

Section: Child Healthcarementioning

confidence: 99%

“…The new CHC program on RHB is in the process of implementation in all county councils and regions, but the adoption is affected by local circumstances. 15 According to Strudwick, 12 studying nurses' use of healthcare technology using TAM, the benefit with technology for healthcare can be attained only if the nurses accept and intend to fully use them. According to Rogers, 5 the diffusion of innovation is influenced by the structure of a social system, and CHC nurses could be in different stages of the adoption process of a Webbased RHB.…”

Section: The Web-based Rikshandbokenmentioning

confidence: 99%

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Nurses' Use and Ways of Understanding Web-Based National Guidelines for Child Healthcare

Tell

Olander

Anderberg

et al. 2019

CIN: Computers, Informatics, Nursing

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The national Rikshandboken for child healthcare is both a Web-based guideline containing knowledge and methodological guidance and a national child healthcare program in the process of being implemented in Sweden. The aim of this study was to examine child healthcare nurses' use and ways of understanding the national Web-based Rikshandboken. A mixed-methods study with sequential explanatory design in two phases was used; a Web survey with descriptive statistics was followed with telephone interviews with phenomenographic analysis. The study showed variations in use and contributed deeper knowledge of child healthcare nurses' ways of understanding the unit Rikshandboken whose varied parts interact with each other. To be reliable, useful, and relevant for nurses in their specific contexts, Rikshandboken must be kept updated and involve the end users in the development process. With access to technical devices and optimal use of the possibilities of information and communication technology, Rikshandboken can be a resource for continuing learning, a tool in everyday work, and a possible determinant to equality in child healthcare. The study contributes valuable knowledge for the design of Web-based national guidelines for healthcare, making them useful and relevant for the end users.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Child Healthcarementioning

confidence: 99%

“…14 Lack of equality and equity in Swedish CHC 16,17 led to a new national CHC program, published on RHB in 2015. 15…”

Section: Child Healthcarementioning

confidence: 99%

Section: The Web-based Rikshandbokenmentioning

confidence: 99%

See 3 more Smart Citations

Nurses' Use and Ways of Understanding Web-Based National Guidelines for Child Healthcare

Tell

Olander

Anderberg

et al. 2019

CIN: Computers, Informatics, Nursing

Self Cite

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Extended home visits can provide multidimensional adapted professional support for parents – an intervention study

Larsson,

Bäckström,

Larsson

et al. 2023

Prim Health Care Res Dev

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Aim: The aim of this study was to explore healthcare professionals’ experiences of working with extended home visits for parents. Background: It is essential to identify parents, both expectant and with a newborn child, who need support in their parenting abilities at an early stage because children’s health and well-being are affected by their home environment as well as by their parents’ health and social relationships. Home visits represent a cost-effective way of identifying and supporting families with a newborn. Further research is needed to explore healthcare professionals’ experiences working with extended home visits for parents. Methods: This was a qualitative interview study focusing on an intervention introduced in the Enhanced Parenting—Extended Home Visits project in Sweden. Data were collected via 13 semi-structured interviews with healthcare professionals who provide the intervention in antenatal care (midwives) and child health care (CHC nurses and family supporters), and a qualitative content analysis was performed. Findings: Data analysis resulted in one theme and four categories. The theme – to provide multidimensional adapted professional support, – and the four categories – strengthened collaboration between professionals enriches their work. Home visits provide time for conversation, which promotes continuity of care and relationships with parents; being humble guests in parents’ homes provides insight; and home visits provide the opportunity to strengthen parenting and participation in the family centre. The goals of the Enhanced Parenting—Extended Home Visits project were to strengthen parents’ confidence in their parenting abilities and to build trusting relationships with healthcare professionals. The conclusion of this study, from the participants’ perspective, is that these goals can be achieved with the intervention. Implications for Practice: Extended home visits seem to help healthcare professionals provide collaborative, multi-professional support for parents, both expectant and with a newborn child, with unique support needs.

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Team-based visits within Swedish child healthcare services: a national cross-sectional study

Nygren

Tindberg

Eriksson

et al. 2021

Journal of Interprofessional Care

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Complex healthcare needs can be met through effective interprofessional collaboration. Since 2014, Swedish Child Healthcare Services (CHS) include universal team-based visits with a nurse and a physician who perform such visits at the age of 4 weeks, 6 months, 12 months, and 2.5 to 3 years, as well as targeted team-based visits to address additional needs. The aim of this study was to describe the prevalence of team-based visits in the Swedish CHS and possible associations between team-based visits and contextual factors that may affect its implementation. A national cross-sectional survey was conducted using a web-based questionnaire distributed to all reachable nurses, physicians, and psychologists (n =3,552) engaged in the CHS. Data were analyzed using descriptive statistics and binary and multivariate logistic regressions. The response rate was 32%. Team-based visits were reported by 82% of the respondents. For nurses and physicians, the most frequent indication was specific ages, while for psychologists it was to provide parental support. Respondents working at Family Centers were more likely to perform team-based visits in general, at 2.5 to 3 years and in case of additional needs, compared to respondents working at Child Health Centers (CHC) and other workplaces. In conclusion, team-based visits are well implemented, but the pattern differs depending on the contextual factors. Targeted team-based visits and team-based visits at the age of 2.5 to 3 years are most unequally implemented.

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Implementation of a web-based national child health-care programme in a local context: A complex facilitator role

Cited by 9 publications

References 16 publications

Nurses' Use and Ways of Understanding Web-Based National Guidelines for Child Healthcare

Nurses' Use and Ways of Understanding Web-Based National Guidelines for Child Healthcare

Extended home visits can provide multidimensional adapted professional support for parents – an intervention study

Team-based visits within Swedish child healthcare services: a national cross-sectional study

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